Active NPI
Vip Eye Care and Eye Wear Inc
- Optometrist
- Saint Petersburg, FL
National Provider Identifier
1336575554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC0002526
- Legal business name
- VIP EYE CARE AND EYE WEAR INC
- Practice address
- 2201 4TH St N Ste a
Saint Petersburg, FL 33704-4300 - Phone
- (727) 894-0500
- Fax
- (727) 823-8697
- NPI assigned
- Sep 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mona A Henri, O.D.
- Title
- Owner
- Phone
- (727) 894-0500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC0002526 | FL | Primary |
Addresses
Primary practice location
2201 4TH St N Ste a
Saint Petersburg, FL 33704-4300
Mailing address
2201 4TH St N Ste a
Saint Petersburg, FL 33704-4300
Phone (727) 894-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078852000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2201 4th St N
Ste A
St Petersburg, FL 33704
Phone (727) 894-0500
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- St Petersburg, FL
- NPI 1003818915
-
- Optometrist
- St Petersburg, FL
- NPI 1780104273
-
- Optometrist
- St Petersburg, FL
- NPI 1821527276
-
- Optometrist
- Pinellas Park, FL
- NPI 1356328629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706659200000",
"number": "1336575554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 4TH ST N STE A",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337044300",
"telephone_number": "727-894-0500",
"fax_number": "727-823-8697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 4TH ST N STE A",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337044300",
"telephone_number": "727-894-0500",
"fax_number": "727-823-8697"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIP EYE CARE AND EYE WEAR INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-19",
"last_updated": "2024-01-31",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "HENRI",
"authorized_official_first_name": "MONA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-894-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC0002526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078852000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.